Review of the acuity scoring systems for the pediatric intensive care unit and their use in quality improvement

James P Marcin, Murray M. Pollack

Research output: Contribution to journalArticle

26 Scopus citations


Acuity scoring systems quantitate the severity of clinical conditions and stratify patients according to presenting patient condition. In the pediatric intensive care unit, the complexity and number of clinical scoring systems are increasing as their applications for clinicians, health services researches, and quality improvement broaden. This article is a review of acuity scoring systems for the pediatric intensive care unit, including examples of scoring systems available, the methods used in assessing these tools, the ways in which these systems are used, and the utility of acuity scoring systems in accurate benchmarking. It is anticipated that with increasing health care costs and competition and increased focus on medical error reduction and quality improvement, the demands for risk-adjusted outcomes and institutional benchmarking will increase; therefore, as clinicians, academicians, and administrators, it is imperative that we be knowledgeable of the methods and applications of these acuity scoring systems to ensure their quality and appropriate use.

Original languageEnglish (US)
Pages (from-to)131-140
Number of pages10
JournalJournal of Intensive Care Medicine
Issue number3
StatePublished - May 2007



  • Acuity scoring systems
  • Benchmarking
  • Critical care
  • Intensive care
  • Mortality
  • Pediatrics
  • Quality improvement
  • Quality of care
  • Severity of illness

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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